NATIONAL TRAIL DIALYSIS LLC (NPI# 1346535051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346535051 |
| Entity Type | Organization |
| Organization Name | NATIONAL TRAIL DIALYSIS LLC |
| Other Organization Name | NATIONAL TRAIL DIALYSIS |
| Practice Address |
171 S Tuttle Rd Springfield OH 45505-1560 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9373287399 |
| Practice Fax Number | 9373287513 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0065537 | 05 |
| Other Name | Type Code |
|---|---|
| National Trail Dialysis | Doing Business As Name - Organization |
| Street Address |
171 S TUTTLE RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1598212177 | Fresenius Medical Care Koke Mill, LLC | Clinic/Center | 2550 Koke Mill Dr., Springfield, IL 62707-9997 | 2016-09-01 |
| 1528444288 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3359 W Kearney St, Springfield, MO 65803-2008 | 2015-08-05 |
| 1922422112 | Fresenius Medical Care Dialysis Services Oregon LLC | Clinic/Center | 350 Q St, Springfield, OR 97477-2140 | 2014-02-10 |
| 1598016305 | Pacheco Dialysis LLC | Clinic/Center | 1007 E Kearney St, Springfield, MO 65803-3433 | 2012-09-20 |
| 1659654010 | Total Renal Care Inc | Clinic/Center | 2930 S 6th St, Springfield, IL 62703-5944 | 2011-09-22 |
| 1437244027 | Rai Care Centers of Illinois II, LLC | Clinic/Center | 1112 Centre West Drive, Springfield, IL 62704-2100 | 2006-10-03 |
| 1093827891 | Qualicenters Eugene-springfield, Ltd. | Clinic/Center | 304 Q St, Springfield, OR 97477-2140 | 2006-08-31 |
| 1548372360 | Dialysis Associates, LLC | Clinic/Center | 106 Mooreland Dr, Springfield, TN 37172-3945 | 2006-08-31 |
| 1497867360 | Kdco, Inc. | Clinic/Center | 2003 E Sunshine St, Springfield, MO 65804-1839 | 2006-08-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
Please comment or provide details below to improve the information on NATIONAL TRAIL DIALYSIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.